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Randomized Controlled Trial
. 2014:2014:769726.
doi: 10.1155/2014/769726. Epub 2014 Nov 17.

Does motor training of the nonparetic side influences balance and function in chronic stroke? A pilot RCT

Shanta Pandian  1 , Kamal Narayan Arya  1 , Dharmendra Kumar  1
Affiliations
Randomized Controlled Trial

Does motor training of the nonparetic side influences balance and function in chronic stroke? A pilot RCT

Shanta Pandian et al. ScientificWorldJournal. 2014.

Abstract

Background: Balance and functional abilities are controlled by both sides of the body. The role of nonparetic side has never been explored for such skills.

Objective: The objective of the present study was to examine the effect of a motor therapy program primarily involving the nonparetic side on balance and function in chronic stroke.

Method: A randomized controlled, double blinded trial was conducted on 39 poststroke hemiparetic subjects (21, men; mean age, 42 years; mean poststroke duration, 13 months). They were randomly divided into the experimental group (n = 20) and control group (n = 19). The participants received either motor therapy focusing on the nonparetic side along with the conventional program or conventional program alone for 8 weeks (3 session/week, 60 minutes each). The balance ability was assessed using Berg Balance Scale (BBS) and Functional Reach Test (FRT) while the functional performance was measured by Barthel Index (BI).

Result: After intervention, the experimental group exhibited significant (P < 0.05) change on BBS (5.65 versus 2.52) and BI (12.75 versus 2.16) scores in comparison to the control group.

Conclusion: The motor therapy program incorporating the nonparetic side along with the affected side was found to be effective in enhancing balance and function in stroke.

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Figures

Figure 1
Figure 1
Consort diagram showing the flow of participants during the study.
Figure 2
Figure 2
(a) and (b) show changes in the Berg Balance Scale (BBS) and Barthel Index (BI) scores, respectively (mean) between the groups at pre- and postassessment; dark grey bar (experimental group), light grey bar (control group). Significant improvements (increase in BBS and BI scores) were noted for both the measures at postintervention.
See this image and copyright information in PMC

References

    1. Pandian S., Arya K. N. Motor impairment of the ipsilesional body side in poststroke subjects. Journal of Bodywork and Movement Therapies. 2013;17(4):495–503. doi: 10.1016/j.jbmt.2013.03.008. - DOI - PubMed
    1. Likhi M., Jidesh V. V., Kanagaraj R., George J. K. Does trunk, arm, or leg control correlate best with overall function in stroke subjects? Topics in Stroke Rehabilitation. 2013;20(1):62–67. doi: 10.1310/tscir2001-62. - DOI - PubMed
    1. Hsieh C.-L., Sheu C.-F., Hsueh I.-P., Wang C.-H. Trunk control as an early predictor of comprehensive activities of daily living function in stroke patients. Stroke. 2002;33(11):2626–2630. doi: 10.1161/01.STR.0000033930.05931.93. - DOI - PubMed
    1. Jijimol G., Fayaz R. K., Vijesh P. V. Correlation of trunk impairment with balance in patients with chronic stroke. NeuroRehabilitation. 2013;32(2):323–325. doi: 10.3233/NRE-130851. - DOI - PubMed
    1. Nichols D. S. Balance retraining after stroke using force platform biofeedback. Physical Therapy. 1997;77(5):553–558. - PubMed

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